Enter Category 📊 AR BASICSName
What does AR Follow-Up focus on?
Following up on claims to ensure payment and resolve denials
Name one system used in AR training
Workday / TEDI / Teams / PolicyTech
What must you do when working remotely
Be available and responsive
What is CAS Code 29?
Timely Filing Denial
What should you do if denial reason is unclear?
Contact the payer
What are the 5 W’s used in AR?
Who, What, When, Where, Why
What is TEDI?
The Ensemble Difference Intranet
What is required during training sessions
Be on camera
What is CAS Code 18
Duplicate Claim Denia
What must notes be?
Clear and concise
What is the main goal when working accounts?
Move the account closer to resolution with every touch
What system is used to manage accounts?
EIQ (Ensemble IQ
What must associates do with their time in Workday?
Clock in/out accurately
What is CAS Code 96?
Non-Covered Service
What should you avoid in notes
Unclear abbreviations / Allow more time
What does KPI stand for?
Key Performance Indicator
What is a clearinghouse
A third-party system that processes claims before sending to payers [AR Follow...aining_USA | PowerPoint]
What is NOT allowed during work hours?
Off-the-clock work
What is CAS Code 50
Not Medically Necessary
What should you gather before calling a payer
Patient info, claim details, DOB, DOS, policy info
What is a Service Level Agreement (SLA)
A contract that defines services and performance standards
Example of a clearinghouse?
SSI / Waystar / FinThrive
What happens if you fail to meet quality standards?
Risk corrective action or termination
What is CAS Code 249?
Readmission Denial
What’s the #1 goal during follow-up?
Resolve the account or move it toward resolution